| Ashley D Fauth, | |
|
237 E Main St, Twin Lakes, WI 53181-9681 | |
| (262) 877-4884 | |
| (262) 877-4629 |
| Full Name | Ashley D Fauth |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist In Private Practice |
| Experience | 13 Years |
| Location | 237 E Main St, Twin Lakes, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164778718 | NPI | - | NPPES |
| P01113279 | Other | WI | RAILROAD MEDICARE |
| 859400079 | Other | WI | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 11995-24 (Wisconsin) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Athletico Ltd | 4789602681 | 2054 |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley D Fauth, 3048 Momentum Pl, Chicago, IL 60689-5330 Ph: (262) 657-0222 | Ashley D Fauth, 237 E Main St, Twin Lakes, WI 53181-9681 Ph: (262) 877-4884 |
Monica E Uselding, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Miss Mallory A. Kelly, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Amanda J Warren, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Tina Jesse, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Emily M. Bartelt, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 | |
Samantha Beck, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 700 N Lake Ave, Twin Lakes, WI 53181 Phone: 262-877-2124 |